2024/03/24 by Peça, Rita, Correia, Mariana, Rosa, Cláudia +2
#adult tonsillectomy #post-operative complications #post-tonsillectomy hemorrhage #tonsillectomy
paper · doi:10.34631/sporl.2064
Objective: This study aimed to evaluate surgical indications and risk factors associated with postoperative complications in tonsillectomy in adults. Study design: Retrospective observational study of 539 patients who underwent surgery at a tertiary center between 2016 and 2021. Material and methods: Demographic and clinical data were collected, and the outcomes were defined: post-tonsillectomy hemorrhage; surgical hemostasis in the operating room; emergency department visits for supportive care. Results: The overall incidence of post-tonsillectomy hemorrhage (PTH) was 16.6% and 13.5% of the patients visited the emergency department for pain control. PTH showed statistically significant associations with both surgeon experience (p=0.008) and patient age (p=0.047). Surgical indication was identified as an independent predictor of pain control (p=0.007). Conclusion: These factors, namely surgical indication, patient’s age and surgeon inexperience, play an important role in preventing post-tonsillectomy complications.